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Individual

DR. CHERYL LYNN DIETRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
193 BLUE RAVINE RD STE 245, FOLSOM, CA 95630-4767
(916) 989-1014
(916) 989-1461
Mailing address
193 BLUE RAVINE RD STE 245, FOLSOM, CA 95630-4767
(916) 989-1014
(916) 989-1461

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
19098
CA

Other

Enumeration date
03/01/2011
Last updated
03/01/2011
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